BONE HEALTH Dr. Tia Lillie. Exercise, Physical Activity and Osteoporosis
|
|
- Randolph Holmes
- 5 years ago
- Views:
Transcription
1 BONE HEALTH Dr. Tia Lillie Exercise, Physical Activity and Osteoporosis
2
3 Food for thought... How old would you be if you didn t know how old you were?
4 DEFINITION: Osteoporosis Osteoporosis (OP) is a disease characterized by low bone mass & microarchitectural deterioration of bone tissue leading to enhanced bone fragility & in risk fracture. Consensus Development Conference, 1991
5 Osteoporosis 28 million Americans 80-90% are women 18 million Americans have low bone mass & are at risk for developing Osteoporosis 50% of all women will develop osteoporosis Osteoporosis accounts for more than 1.5 million fractures 700,000 vertebral 300,000 hip 250,000 wrist 300,000 other sites
6 Bone Physiology Bone a living tissue Undergoes a continuous cycle of bone building by osteoblasts & bone resorption by osteoclasts. Remodeling Cycle: Process of resorption & formation One cycle completed - 4 months
7 Bone Remodeling Cycle
8 Measures of bone integrity 1. Bone mass 2. Bone mineral content Calcium Phosphorous Magnesium 3. Bone mineral density Calcium or minerals/unit volume of bone
9 Screening for osteoporosis
10 Criteria for Assessing Disease Severity Normal > -1.0 std Osteopenia BMD SD below the mean Osteoporosis BMD < SD below the mean Severe Osteoporosis BMD < SD below the mean with Fracture
11 Risk of hip fracture per 1000/year
12 INTACT Normal Loading Normal Ca++ Loading Initial stages of Osteoporosis Normal loading Deficient Ca++ Loading Osteoporosis Unloaded Deficient Ca++ Loading (Lanyon & Rubin, 1986)
13 Bone Growth Children Old bone is resorbed but because new bone is formed at a faster rate, total bone linearly with 40-70% in bone mass during puberty. Bone continues to until peak bone mass is achieved around age 30 for both males & females.
14 Stages Bone Growth Resorption < formation Between 25 & 35 Resorption = formation After 40 Resorption > formation
15 Bone Loss Women attain peak bone mass that is generally 10% less than males. Bone loss of approximately.7% - 1% a year occurs up until age of 50 for both genders Bone loss for women to about 2%-3% / year beg. at menopause & continues for 5-10yrs. On average women lose 1/3-1/2 of the BMD during menopause.
16 BMD in Women
17 Demographics of Osteoporosis Gender: Women affected more than men Lower peak bone mass Rapid bone loss with declining estrogen levels Longer lifespan Race / Ethnicity(compared to Caucasians) African descent: higher bone mass Asian: lower bone mass Hispanic: same bone mass
18 Peak Bone Mineral Density (BMD) What factors would influence peak bone mass?
19 Extended bed rest is associated with increased Ca++ excretion Ca++ Excretion Days in Bed
20 Factors Affecting Bone Mineral Density (BMD) Lifestyle Factors: Dietary Ca + Vitamin D Weight bearing PA levels Smoking Alcohol Consumption Aging Factors: Estrogen levels [Menopause or amenorrhea] Testosterone Levels in males
21 Post-Menopausal Women: Hormone replacement therapy will help maintain BMD in post-menopausal women. (RISKS?)
22 Osteoporotic Fractures in Women, Compared With Other Diseases 2,000,000 Annual Incidence 1,500,000 1,000, ,000 1,200, , , , Osteoporotic Fractures Heart Attack Stroke Breast Cancer 1 National Osteoporosis Foundation, Available at: 2 American Heart Association. Heart & Stroke Facts: 1999 Statistical Supplement. 3 American Cancer Society. Breast Cancer Facts & Figures
23 Factors affecting BMD Cont. Health-related Factors Long-term usage of corticosteroid Oral Glucocorticosteroid ( bone formation & in bone resorption) Genetics 70-80% of biologic potential is genetic
24 Oral Glucocorticosteroid Dose Strongly Correlates to Fracture Risk 6 Hip Spine Relative Risk <2.5 mg/d mg/d >7.5 mg/d Daily Oral Glucocorticosteroid Dose
25 3 Common sites Fractures
26 Wrist & Vertebral Fractures WRIST: Pain, reduced ROM 50-70% recover within 6 months VERTEBRAL: Deformity, postural abnormality Pain Functional impairment
27 Hip Fractures HIP: BAD NEWS! 275,000 annually due to osteoporosis 20% die with 6 months of the fracture 20% require long term institutionalization 20% face permanent disability
28 OUTCOMES: Fractures Economic Consequences Projected cost of $45.2 BILLION over the next 10 years Based on: Current costs 3 fracture sites # of women over 45 yrs
29 Fracture Potential If applied load is > than structural capacity the fracture will occur. What determines the structural capacity? Porosity Mineral content Bone matrix
30 Applied Load Magnitude and Direction of load falls. Lateral less than 2% of lateral falls result in hip fracture Backwards 40-60% of vertebral fractures due to backward falls.
31 ARE THERE CULTURAL DIFFERENCES? Race Education Ethnicity SES Gender
32 Athletes: Cross country runners had 20% higher BMC in appendicular skeleton than non-exercisers. Matched for age, height and weight (MALE).
33 Lumbar Density: Athletes Row Volleyball Basketball Swim Run Weights Drinkwater, 1994
34 BMC of women runners & untrained women who are amenorrheic (AM) & eumenorrheic (EU) Bone mineral content (mg/cm3) AM Untrained AM Runners EU Untrained EU Runners
35 Power/Strength vs. Endurance [Runners, Gymnasts & Controls] BMD (mg/cm3) AM Runners EU Runners AM Gymnasts EU Gymnasts EU Controls
36 Cross Sectional Data Summary: Weight bearing physical activity is beneficial & dependent upon body weight. Excessive physical activity may be detrimental, especially in association with amenorrhea. High impact physical activity appear to confer > BMD benefit. Muscle inactivity will result in both muscle & bone atrophy.
37 Post-menopausal Women: Resistance training? Nursing home studies have reported BMD with weight-bearing exercise in VERY old women. Generally will only slow the rate of loss, NOT reverse the process
38 RESEARCH SUMMARY It appears that strenuous aerobic exercise & strength training may be beneficial for maintaining Bone Mineral Density. Mild general exercise such as walking may NOT be effective in preventing post-menopausal bone loss or enhancing bone mass in younger individuals.
39 RECOMMENDATIONS FOR OPTIMAL BONE HEALTH For developing peak bone mass (young) Weight-bearing, bone-stressing physical activity Diet adequate in Ca + Pre-menopausal adults Physical activity to maintain bone mass Diet adequate in Ca + Post-menopausal adults Physical activity to slow bone loss Diet adequate in Ca +
40 Reduction of Fall Risk: Fractures often associated with falls. ~90% of hip fractures ~40-50% of vertebral fractures 100% of radial fractures Fall risk due to: Lower body weakness Reduced power Balance disturbances Polypharmacy
41 Three target periods for intervention Enhance peak bone mass in developing years 2. Maintain peak bone mass in young adult years 3. Minimize loss of bone mass in postmenopausal years Physical activity may positively affect bone health during each phase!
42 If that is the case EXERCISE PRESCRIPTION
43 Minimal Essential Strain (MES) Threshold stimulus that initiates new bone growth. Forces that reaches or exceeds this threshold & is repeated will signal osteoblasts to migrate to the region to lay down matrix protein in the strength of the bone in that area. Osteoblast Secrete collagen to build new bone.
44 Training Concepts for Stimulating New Bone Formation Specificity of loading Proper exercise selection Progressive overload Variation
45 Exercise Selection Multiple muscle groups Isolation of a single muscle group by stabilizing the rest of the body Example: knee extension vs. back squat
46 Progressive Overload a steady gradual increase. WANT TO AVOID INJURY & OVERTRAINING
47 Training Variation Forces on Different areas of the body
48 Exercises to Prevent Falls Increase lower body strength & power Challenge linear movement patterns Stepping up and laterally Incorporating Weights Tai Chi-type movements
49 SUMMARY Movement is good! Bone responds most favorably to: High forces Young bodies (lifetime physical activity) Optimal Ca + intake Adequate reproductive hormones Reducing fall risk is essential!
50
51 References Spirduso,, W. W., Francis, K. L., & MacRae,, P. G. (2005). Physical Dimensions of Aging (2nd Ed.). Champaign, IL: Human Kinetics. Corbin, C.B., Welk,, G.J., Corbin, W.R., Welk,, K.A. (2008). Concepts of Physical Fitness: Active Lifestyles for wellness (14th ed.). New York, NY: McGraw-Hill Publishers. Baechle, T.R., & Earle, R.W. (Eds.). (2008). Essentials of Strength Training and Conditioning. Champaign, IL: Human Kinetics
Helpful information about bone health & osteoporosis Patient Resource
Helpful information about bone health & osteoporosis Patient Resource Every year In the United States, 2.5 million fractures occur due to osteoporosis. Out of these, 330,000 are hip fractures, and half
More informationThe Skeletal Response to Aging: There s No Bones About It!
The Skeletal Response to Aging: There s No Bones About It! April 7, 2001 Joseph E. Zerwekh, Ph.D. Interrelationship of Intestinal, Skeletal, and Renal Systems to the Overall Maintenance of Normal Calcium
More informationChapter 39: Exercise prescription in those with osteoporosis
Chapter 39: Exercise prescription in those with osteoporosis American College of Sports Medicine. (2010). ACSM's resource manual for guidelines for exercise testing and prescription (6th ed.). New York:
More informationSkeletal Manifestations
Skeletal Manifestations of Metabolic Bone Disease Mishaela R. Rubin, MD February 21, 2008 The Three Ages of Women Gustav Klimt 1905 1 Lecture Outline Osteoporosis epidemiology diagnosis secondary causes
More informationOsteoporosis. Overview
v2 Osteoporosis Overview Osteoporosis is defined as compromised bone strength that increases risk of fracture (NIH Consensus Conference, 2000). Bone strength is characterized by bone mineral density (BMD)
More informationOsteoporosis The Silent Disease
Joel Johnson, Yr, Subtask, Biology ER., 7/9/5 Osteoporosis The Silent Disease What is Osteoporosis? Osteoporosis is a disease which causes bones to become brittle, which increases the risk of broken bones.
More information1
www.osteoporosis.ca 1 2 Overview of the Presentation Osteoporosis: An Overview Bone Basics Diagnosis of Osteoporosis Drug Therapies Risk Reduction Living with Osteoporosis 3 What is Osteoporosis? Osteoporosis:
More informationPhysical Activity For Life. Staying Healthy Dr. Tia Lillie
Physical Activity For Life Staying Healthy Dr. Tia Lillie Current ACSM & CDC Recommendations Every U.S. adult should accumulate 30 minutes or more of moderate-intensity physical activity on most, preferably
More informationOsteoporosis - At a Glance
Published on: 29 Sep 2010 Osteoporosis - At a Glance What Is A Bone? Bone Connective tissue 206 bones Support Function of Bone Protection Assisting in movement Mineral balance Site of blood cell production
More informationBone. Disease. Cartilage. Strategies for Longevity. Joint Health
Bone Strategies for Longevity Disease Cartilage Joint Health Introduction Bones adapt using a very simple principle Use it or lose it Like muscle, bone is modified based on the strain it must with stand.
More informationPHC4 Issue Brief. Osteoporosis Facts and Figures. November 19, 1997
PHC4 Issue Brief Osteoporosis Facts and Figures November 19, 1997 Background Information: Osteoporosis is a disease characterized by low bone mass and structural deterioration of bone tissue, leading to
More informationPage 1
Osteoporosis Osteoporosis is a condition characterised by weakened bones that fracture easily. After menopause many women are at risk of developing osteoporosis. Peak bone mass is usually reached during
More informationChanges in Skeletal Systems over the Lifespan. Connie M. Weaver, Ph.D. Purdue University
Changes in Skeletal Systems over the Lifespan Connie M. Weaver, Ph.D. Purdue University Disclosures Boards/Scientific Advisory Committees ILSI Showalter Pharmavite Grants NIH Dairy Research Institute Nestle
More informationOsteoporosis. Osteoporosis ADD PICTURE
OSTEOPOROSIS The Silent Thief Chronic, progressive metabolic bone disease marked by Low bone mass Deteriora?on of bone?ssue Leads to increased bone fragility ADD PICTURE Osteoporosis Over 54 million people
More informationLOVE YOUR BONES Protect your future
www.worldosteoporosisday.org LOVE YOUR BONES Protect your future Know your risk for osteoporosis www.iofbonehealth.org Osteoporosis is a problem worldwide, and in many countries, up to one in three women
More informationNutritional Aspects of Osteoporosis Care and Treatment Cynthia Smith, FNP-BC, RN, MSN, CCD Pars Osteoporosis Clinic, Belpre, Ohio
Osteoporosis 1 Nutritional Aspects of Osteoporosis Care and Treatment Cynthia Smith, FNP-BC, RN, MSN, CCD Pars Osteoporosis Clinic, Belpre, Ohio 1) Objectives: a) To understand bone growth and development
More informationFragile Bones and how to recognise them. Rod Hughes Consultant physician and rheumatologist St Peter s hospital Chertsey
Fragile Bones and how to recognise them Rod Hughes Consultant physician and rheumatologist St Peter s hospital Chertsey Osteoporosis Osteoporosis is a skeletal disorder characterised by compromised bone
More informationOsteoporosis: Who, What, When, Why, and How
Osteoporosis: Who, What, When, Why, and How Doris J. Uh, PharmD, AE-C Pharm 445 September 20, 2005 Objectives define osteoporosis (what) determine high risk groups (who, when) review modifiable, non-modifiable
More informationWhat Is FRAX & How Can I Use It?
What Is FRAX & How Can I Use It? Jacqueline Osborne PT, DPT Board Certified Geriatric Clinical Specialist Certified Exercise Expert for the Aging Adult Brooks Rehabilitation; Jacksonville, FL Florida Physical
More informationOSTEOPOROSIS IN INDONESIA
OSTEOPOROSIS IN INDONESIA Hana Ratnawati Faculty of Medicine Maranatha Christian University Bandung - Indonesia 5th SBA Conference 2013 1 5th SBA Conference 2013 2 INTRODUCTION Indonesia is an archipelago
More informationNATIONAL COALITION FOR OSTEOPOROSIS AND RELATED BONE DISEASES
NATIONAL COALITION FOR OSTEOPOROSIS AND RELATED BONE DISEASES Fact Sheet FY 2007 What is the Mission of the Bone Coalition? The National Coalition for Osteoporosis and Related Bone Diseases is dedicated
More information100% Effective Natural Hormone Treatment Menopause, Andropause And Other Hormone Imbalances Impair Healthy Healing In People Over The Age Of 30!
This Free E Book is brought to you by Natural Aging.com. 100% Effective Natural Hormone Treatment Menopause, Andropause And Other Hormone Imbalances Impair Healthy Healing In People Over The Age Of 30!
More informationClosing the Care Gap in Osteoporosis ICE Conference 2015
Closing the Care Gap in Osteoporosis ICE Conference 2015 Pat McCarthy-Briggs RD, MHEd Thank You! What is osteoporosis? a systemic skeletal disease characterized by low bone mass and microarchitectural
More informationTo understand bone growth and development across the lifespan. To develop a better understanding of osteoporosis.
Nutrition Aspects of Osteoporosis Care and Treatment t Cynthia Smith, FNP-BC, RN, MSN, CCD Pars Osteoporosis Clinic, Belpre, OH. Objectives To understand bone growth and development across the lifespan.
More informationFractures: Epidemiology and Risk Factors. July 2012 CME (35 minutes) 7/24/ July12 1. Osteoporotic fractures: Comparison with other diseases
Financial Disclosures Fractures: Epidemiology and Risk Factors Research grants, speaking or consulting: Amgen, Lilly, Merck, Novartis, Radius Dennis M. Black, PhD Department of Epidemiology and Biostatistics
More informationBone Mass Measurement BONE MASS MEASUREMENT HS-042. Policy Number: HS-042. Original Effective Date: 8/25/2008
Easy Choice Health Plan, Inc. Harmony Health Plan of Illinois, Inc. Missouri Care, Inc. Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc. WellCare Health Insurance of Illinois,
More informationOsteoporosis. Definition
Osteoporosis Definition Osteoporosis causes bones to become weak and brittle so brittle that a fall or even mild stresses like bending over or coughing can cause a fracture. Osteoporosis-related fractures
More informationCoordinator of Post Professional Programs Texas Woman's University 1
OSTEOPOROSIS Update 2007-2008 April 26, 2008 How much of our BMD is under our control (vs. genetics)? 1 2 Genetic effects on bone loss: longitudinal twin study (Makovey, 2007) Peak BMD is under genetic
More informationDISUSE OSTEOPOROSIS IN PATIENTS WITH POLIOMYELITIS
DISUSE OSTEOPOROSIS IN PATIENTS WITH POLIOMYELITIS Jülide Öncü,MD Istanbul Sisli Etfal Teaching Hospital julideoncu@sislietfalgov.tr Arzu On,MD; Simin Hepguler,MD Ege University Medical Faculty arzuon@ege.edu.tr
More informationMen and Osteoporosis So you think that it can t happen to you
Men and Osteoporosis So you think that it can t happen to you Jonathan D. Adachi MD, FRCPC Alliance for Better Bone Health Chair in Rheumatology Professor, Department of Medicine Michael G. DeGroote School
More informationOSTEOPOROSIS: PREVENTION AND MANAGEMENT
OSTEOPOROSIS: OVERVIEW OSTEOPOROSIS: PREVENTION AND MANAGEMENT Judith Walsh, MD, MPH Departments of Medicine and Epidemiology and Biostatistics UCSF Definitions Key Risk factors Screening and Monitoring
More informationUsing the FRAX Tool. Osteoporosis Definition
How long will your bones remain standing? Using the FRAX Tool Gary Salzman M.D. Director Banner Good Samaritan/ Hayden VAMC Internal Medicine Geriatric Fellowship Program Phoenix, Arizona Using the FRAX
More informationLearning Objectives. ! Students will become familiar with the 3 treatment solutions for osteoporosis. ! Students should be able to define osteoporosis
Learning Objectives! Students should be able to define osteoporosis! Students should be able to identify some risk factors of osteoporosis! Students should be able to identify some of the people in the
More informationOsteoporosis challenges
Osteoporosis challenges Osteoporosis challenges Who should have a fracture risk assessment? Who to treat? Drugs, holidays and unusual adverse effects Fracture liaison service? The size of the problem 1
More informationDisclosures Fractures:
Disclosures Fractures: A. Schwartz Epidemiology and Risk Factors Research Funding: GlaxoSmithKline, Merck Ann V. Schwartz, PhD Department of Epidemiology and Biostatistics UCSF Outline Fracture incidence
More informationDisclosures. Diagnostic Challenges in Osteoporosis: Whom To Treat 9/25/2014
Disclosures Diagnostic Challenges in Osteoporosis: Whom To Treat Ethel S. Siris, MD Columbia University Medical Center New York, NY Consultant on scientific issues for: AgNovos Amgen Eli Lilly Merck Novartis
More informationOsteoporosis. When we talk about osteoporosis, we have to be familiar with the constituents of bone and what it is formed of.
Osteoporosis When we talk about osteoporosis, we have to be familiar with the constituents of bone and what it is formed of. Osteoblasts by definition are those cells present in the bone and are involved
More informationPrevention and Treatment of OSTEOPOROSIS 骨質疏鬆的預防與治療
Prevention and Treatment of OSTEOPOROSIS 骨質疏鬆的預防與治療 Gwo Jaw Wang, M.D. 王國照教授 University of Virginia (U.S.A.) & National Cheng Kung University (Taiwan) Learning Objectives Pathophysiology of osteoporosis
More informationOsteoporosis in Men Wendy Rosenthal PharmD. This program has been brought to you by PharmCon
Osteoporosis in Men Wendy Rosenthal PharmD This program has been brought to you by PharmCon Osteoporosis in Men Speaker: Dr. Wendy Rosenthal, President of MedOutcomes, will be the presenter for this webcast.
More informationMy joints ache. What is the difference between osteoporosis and osteoarthritis?
Osteoporosis What is osteoporosis? Osteoporosis means bones are less dense, more fragile, and at greater risk for breaking, even with small injuries. This problem often affects bones in the hip, spine,
More informationModule 5 - Speaking of Bones Osteoporosis For Health Professionals: Fracture Risk Assessment. William D. Leslie, MD MSc FRCPC
Module 5 - Speaking of Bones Osteoporosis For Health Professionals: Fracture Risk Assessment William D. Leslie, MD MSc FRCPC Case #1 Age 53: 3 years post-menopause Has always enjoyed excellent health with
More informationOverview. Bone Biology Osteoporosis Osteomalacia Paget s Disease Cases. People Centred Positive Compassion Excellence
Overview Osteoporosis and Metabolic Bone Disease Dr Chandini Rao Consultant Rheumatologist Bone Biology Osteoporosis Osteomalacia Paget s Disease Cases Bone Biology Osteoporosis Increased bone remodelling
More informationOsteoporosis Update. Greg Summers Consultant Rheumatologist
Osteoporosis Update Greg Summers Consultant Rheumatologist DEFINITION OSTEOPOROSIS is LOW BONE MASS (& micro-architectural deterioration) causing AN INCREASED RISK OF FRACTURE 23 years 82 years 23 y/o
More informationBETTER YOUR BONES UPDATE ON LATEST BONE HEALTH RESEARCH
BETTER YOUR BONES UPDATE ON LATEST BONE HEALTH RESEARCH Taylor C. Wallace, PhD, CFS, FACN Academy of Nutrition and Dietetics Food Nutrition Conference & Expo October 5 th, 2015 Disclosures Employment George
More informationThe Risk Factors and Prevention of Osteoporosis
ISSN UA Volume 01 Issue 01 June-2018 The Risk Factors and Prevention of Osteoporosis Astha Vyas 1 and Ganga Sharma 1 Available online at: www.xournals.com Received 12 th December 2017 Revised 16 th February
More informationNO BONES ABOUT IT. What you need to know about osteoporosis _cov_a _cov_b _cov_c
NO BONES ABOUT IT What you need to know about osteoporosis 210054900_cov_a 210054900_cov_b 210054900_cov_c WHAT S IT ALL ABOUT? Your bones have a thick, strong wall on the outside. Inside this wall, the
More informationOsteoporosis a bone disorder
Osteoporosis-Related Hip Fractures Cost $13 Billion to $18 Billion Yearly Eric Barefield (404) 880-6289 Osteoporosis a bone disorder associated with increased susceptibility to fracture of the hip, spine,
More informationOsteoporosis. By Amanda Neilson
Osteoporosis By Amanda Neilson Overview Definition Epidemiology Clinical Aspects Treatments Effects on Exercise Exercise Testing Exercise Prescription Summary and Conclusion References Definition Breakdown
More informationStudy of secondary causes of male osteoporosis
Study of secondary causes of male osteoporosis Suárez, S.M., Giunta J., Meneses G., Costanzo P.R., Knoblovits P. Department of Endocrinology, Metabolism and Nuclear Medicine of Hospital Italiano of Buenos
More informationThe Bare Bones of Osteoporosis. Wendy Rosenthal, PharmD
The Bare Bones of Osteoporosis Wendy Rosenthal, PharmD Definition A systemic skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue, with a consequent increase
More informationJohn J. Wolf, DO Family Medicine
John J. Wolf, DO Family Medicine Objectives: 1. Review incidence & Risk of Osteoporosis 2.Review indications for testing 3.Review current pharmacologic & Non pharmacologic Tx options 4.Understand & Utilize
More informationBody Mechanics: Posture and Care of the Back and Neck. Dr. Tia Lillie
Body Mechanics: Posture and Care of the Back and Neck Dr. Tia Lillie Back Facts 80% of the population will experience some form of back pain at some point during their lifetime. Back problems problems
More informationFractures: Epidemiology and Risk Factors. Osteoporosis in Men (more this afternoon) 1/5 men over age 50 will suffer osteoporotic fracture 7/16/2009
Fractures: Epidemiology and Risk Factors Mary L. Bouxsein, PhD Department of Orthopaedic Surgery Beth Israel Deaconess Medical Center Harvard Medical School, Boston, MA Outline Fracture incidence and impact
More informationHIV and your Bones Osteopenia and Osteoporosis
Osteopenia and Osteoporosis Background information For reasons not yet fully understood, higher rates of bone disease are starting to be seen in people living with HIV. These bone diseases include osteopenia
More informationGuideline for the investigation and management of osteoporosis. for hospitals and General Practice
Guideline for the investigation and management of osteoporosis for hospitals and General Practice Background Low bone density is an important risk factor for fracture. The aim of assessing bone density
More informationCooking for bone health
Cooking for bone health An interactive cooking session that includes instruction on how to prepare simple and nutritious meals that support healthy bones. Why is bone health important? Bones play many
More informationWHAT KEEPS OUR BONES STRONG?
WHAT KEEPS OUR BONES STRONG? The role of diet and lifestyle in osteoporosis prevention Thomas Walczyk PhD, Associate Professor Food Science and Technology Programme Department of Chemistry, Faculty of
More informationOsteoporosis. Skeletal System
Osteoporosis Introduction Osteoporosis is a very common bone disease that causes bone to become weak. Bone weakness can lead to fractures of the spine, hip, and wrist from simple falls or even a sneeze
More informationchapter Age- and Sex- Related Differences and Their Implications for Resistance Exercise
chapter 7 Age- and Sex- Related Differences and Their Implications for Resistance Exercise Chapter Objectives Evaluate evidence regarding the safety and effectiveness of resistance exercise for children.
More informationBoneTraining. Readings: What is the goal of bone training? Why is bone training important? Drugs Nutrition Exercise. Sunday/10/14/2012 U 1
Readings: BoneTraining Selected articles referenced within lecture are not required readings 2 Why is bone training important? Bone density declines through adulthood Low bone density (osteoporosis) places
More informationOsteoporosis update. Dr. Claire Vandevelde Consultant Rheumatologist, LTHT
Osteoporosis update Dr. Claire Vandevelde Consultant Rheumatologist, LTHT Outline Background BMD Tools for assessing fracture risk Case study Denosumab Treatment breaks BMD BMD predicts fracture risk but
More informationDisclosures Fractures: A. Schwartz Epidemiology and Risk Factors Consulting: Merck
Disclosures Fractures: A. Schwartz Epidemiology and Risk Factors Consulting: Merck Ann V. Schwartz, PhD Department of Epidemiology and Biostatistics UCSF Outline Fracture incidence and impact of fractures
More informationInterpreting DEXA Scan and. the New Fracture Risk. Assessment. Algorithm
Interpreting DEXA Scan and the New Fracture Risk Assessment Algorithm Prof. Samir Elbadawy *Osteoporosis affect 30%-40% of women in western countries and almost 15% of men after the age of 50 years. Osteoporosis
More informationBONE HEALTH INNOVATION
BONE HEALTH INNOVATION A revolutionary approach to joint health Esther Mills-Roberts, Nutritional Biochemist Not to be reproduced, either in full or part, without prior permission SO WHY THE NEED? There
More informationMake your. first break. your last.
www.iofbonehealth.org Make your first break your last WHAT IS OSTEOPOROSIS? Osteoporosis is a disease in which bones become more fragile and weak, leading to an increased risk of fractures (broken bones).
More informationCASE 1 WHY IS IT IMPORTANT TO TREAT? FACTS CONCERNS
4:30-5:15pm Ask the Expert: Osteoporosis SPEAKERS Silvina Levis, MD OSTEOPOROSIS - FACTS 1:3 older women and 1:5 older men will have a fragility fracture after age 50 After 3 years of treatment, depending
More informationClinician s Guide to Prevention and Treatment of Osteoporosis
Clinician s Guide to Prevention and Treatment of Osteoporosis Published: 15 August 2014 committee of the National Osteoporosis Foundation (NOF) Tipawan khiemsontia,md outline Basic pathophysiology screening
More informationTWO EXAMPLES OF A CHRONIC DISEASE PREVENTION WORKSHEET ADDRESSING PRIMARY, SECONDARY, AND TERTIARY APPROACHES TO OSTEOPOROSIS
APPENDIX 17 B TWO EXAMPLES OF A CHRONIC DISEASE PREVENTION WORKSHEET ADDRESSING PRIMARY, SECONDARY, AND TERTIARY APPROACHES TO OSTEOPOROSIS Example 1 Target disease: Osteoporosis Target group: White females
More informationDISCLAIMER DO NOT DISTRIBUTE
DISCLAIMER The information contained in this presentation is not intended as a substitute for professional medical advice, diagnosis, or treatment. It is provided for educational purposes only. You assume
More informationEndocrine Regulation of Calcium and Phosphate Metabolism
Endocrine Regulation of Calcium and Phosphate Metabolism Huiping Wang ( 王会平 ), PhD Department of Physiology Rm C516, Block C, Research Building, School of Medicine Tel: 88208252 Email: wanghuiping@zju.edu.cn
More informationJuly 2012 CME (35 minutes) 7/12/2016
Financial Disclosures Epidemiology and Consequences of Fractures Advisory Board: Amgen Janssen Pharmaceuticals Inc. Ann V. Schwartz, PhD Department of Epidemiology and Biostatistics UCSF Outline Osteoporotic
More informationA Patient s Guide to Osteoporosis
A Patient s Guide to Osteoporosis Glendale Adventist Medical Center 1509 Wilson Terrace Glendale, CA 91206 Phone: (818) 409-8000 DISCLAIMER: The information in this booklet is compiled from a variety of
More informationForteo (teriparatide) Prior Authorization Program Summary
Forteo (teriparatide) Prior Authorization Program Summary FDA APPROVED INDICATIONS DOSAGE 1 FDA Indication 1 : Forteo (teriparatide) is indicated for: the treatment of postmenopausal women with osteoporosis
More informationKeywords: EXERCISE, OSTEOPOROSIS, BONE MASS, HIP FRACTURE, BONE STRENGTH, PHYSICAL ACTIVITY
Title: Exercise in the prevention of osteoporosis-related fractures Authors, degrees and affiliations: Belinda R. Beck, Ph. D. Griffith University School of Physiotherapy & Exercise Science Kerri M. Winters-Stone,
More informationObjectives: What is Osteoporosis 10/8/2015. Bone Health/ Osteoporosis: BASICS OF SCREENING, INTERPRETING, AND TREATING
Bone Health/ Osteoporosis: BASICS OF SCREENING, INTERPRETING, AND TREATING TIFFANY PAUL, APN, CNP, CCD Objectives: Review the diagnosis of Osteoporosis Describe the basics of a bone density exam Identify
More informationBONE HEALTH BASICS. Promoting Healthy Bones: Sorting Out the Science. Learning Objectives. Guest Speaker
Copyright 11 by the Preventive Cardiovascular Nurses Association Promoting Healthy Bones: Sorting Out the Science Guest Speaker Robert P. Heaney, MD, FACP, FASN Professor and Professor of Medicine Creighton
More informationBREAST CANCER AND BONE HEALTH
BREAST CANCER AND BONE HEALTH Rowena Ridout, MD, FRCPC Toronto Western Hospital Osteoporosis Program University Health Network / Mount Sinai Hospital rowena.ridout@uhn.ca None to declare Conflicts of Interest
More informationFacts About Aging and. Bone Health. A Guide to Better Understanding and Well-Being. This educational information is proudly provided by
and Bone Health A Guide to Better Understanding and Well-Being This educational information is proudly provided by Aging The fact is, everyone experiences slow loss of bone strength and bone density throughout
More informationMusculoskeletal Clinical Correlates: Osseous Conditions in Dental Patients
Musculoskeletal Clinical Correlates: Osseous Conditions in Dental Patients Learning Objectives Define osteoporosis and explain how it is diagnosed. Describe the main risk factors for developing osteoporosis.
More informationOSTEOPOROSIS PREVENTION THROUGH CHIROPRACTIC
OSTEOPOROSIS PREVENTION THROUGH CHIROPRACTIC By Keith Wassung THE OSTEOPOROSIS EPIDEMIC Osteoporosis is a major public health threat for 28 million Americans, 80% of whom are women. Annual treatment costs
More informationOsteoporosis: Are your bones at risk of fracturing? Rachel Wallwork, MD Internal medicine resident Massachusetts General Hospital
Osteoporosis: Are your bones at risk of fracturing? Rachel Wallwork, MD Internal medicine resident Massachusetts General Hospital What is Osteoporosis? Osteoporosis causes bones to lose density, become
More informationOsteoporosis. Current Trend in Osteoporosis Management for Elderly in HK- Medical Perspective. Old Definition of Osteoporosis
Current Trend in Osteoporosis Management for Elderly in HK- Medical Perspective Dr Dicky T.K. Choy Physician Jockey Club Centre for Osteoporosis Care and Control, CUHK Osteoporosis Global public health
More informationCatch the HEDIS Buzz!
Catch the HEDIS Buzz! Focus Area: Osteoporosis Management in Women Who Had a Fracture Date: October 2014 HEDIS Performance Score In 2013, Humana At Home associates did a great job of promoting Osteoporosis
More informationFit For Life Lifestyle Management Specialist Module
Study/Facilitation Notes for Back Care & Bone Health The NCEF in Association with the IHF Fit For Life Lifestyle Management Specialist Module This Module is accredited by the University of Limerick and
More informationOsteoporosis. Authors Misner, Scottie; Farrell, Vanessa A. College of Agriculture, University of Arizona (Tucson, AZ)
Osteoporosis Item Type text; Book Authors Misner, Scottie; Farrell, Vanessa A. Publisher College of Agriculture, University of Arizona (Tucson, AZ) Download date 24/07/2018 11:44:43 Item License http://creativecommons.org/licenses/by-nc-sa/4.0/
More informationBAD TO THE BONE. Peter Jones, Rheumatologist QE Health, Rotorua. GP CME Conference Rotorua, June 2008
BAD TO THE BONE Peter Jones, Rheumatologist QE Health, Rotorua GP CME Conference Rotorua, June 2008 Agenda Osteoporosis in Men Vitamin D and Calcium Long-term treatment with Bisphosphonates Pathophysiology
More informationCalcium Nephrolithiasis and Bone Health. Noah S. Schenkman, MD
Calcium Nephrolithiasis and Bone Health Noah S. Schenkman, MD Associate Professor of Urology and Residency Program Director, University of Virginia Health System; Charlottesville, Virginia Objectives:
More informationFalls and Fractures An Introduction. Sarah Leyland Senior Nurse and Helpline Manager National Osteoporosis Society
Falls and Fractures An Introduction Sarah Leyland Senior Nurse and Helpline Manager National Osteoporosis Society Definitions Osteoporosis is a systemic skeletal disease characterized by low bone mass
More informationreach vanderbilt-ingram cancer center Bone Health
Bone Health During childhood and into young adulthood, bone formation usually occurs faster than bone loss, causing bones to grow and become heavier (more dense). As a person gets older, the process of
More informationDownload slides:
Download slides: https://www.tinyurl.com/m67zcnn https://tinyurl.com/kazchbn OSTEOPOROSIS REVIEW AND UPDATE Boca Raton Regional Hospital Internal Medicine Conference 2017 Benjamin Wang, M.D., FRCPC Division
More informationOsteoporosis is a huge taboo once you pass a certain age, but it really doesn t have to be that way. Even though it is a serious, irreversible,
Osteoporosis is a huge taboo once you pass a certain age, but it really doesn t have to be that way. Even though it is a serious, irreversible, medical condition, people with osteoporosis can still have
More informationOsteoporosis: A Tale of 3 Task Forces!
Osteoporosis: A Tale of 3 Task Forces! Robert A. Adler, MD McGuire Veterans Affairs Medical Center Virginia Commonwealth University Richmond, Virginia, USA Disclosures The opinions are those of the speaker
More informationOsteoporosis and Lupus. Andrew Ruthberg, MD University Rheumatologists
Osteoporosis and Lupus Andrew Ruthberg, MD University Rheumatologists 1 Forget the medical terminology (osteoporosis, osteopenia, low bone mass, DEXA, DXA, T score etc) The bottom line is that you don
More informationDiscuss these Questions:
Exercise and Bones Discuss these Questions: Are your bones all non-living material like a rock or made of living material like your heart? Once you are through growing, do your bones stay the same for
More informationAromatase Inhibitors & Osteoporosis
Aromatase Inhibitors & Osteoporosis Miss Sarah Horn Consultant Oncoplastic Breast Surgeon April 2018 Aims Role of Aromatase Inhibitors (AI) in breast cancer treatment AI s effects on bone health Bone health
More informationOsteoporosis/Fracture Prevention
Osteoporosis/Fracture Prevention NATIONAL GUIDELINE SUMMARY This guideline was developed using an evidence-based methodology by the KP National Osteoporosis/Fracture Prevention Guideline Development Team
More informationManagement of postmenopausal osteoporosis
Management of postmenopausal osteoporosis Yeap SS, Hew FL, Chan SP, on behalf of the Malaysian Osteoporosis Society Committee Working Group for the Clinical Guidance on the Management of Osteoporosis,
More informationAwareness, Diagnosis, and Management of Osteoporosis in Adults with Developmental Disabilities
Awareness, Diagnosis, and Management of Osteoporosis in Adults with Developmental Disabilities Sunil J. Wimalawansa, MD, PhD, MBA, FACP, FRCP University Professor Professor of Medicine, Physiology & Pharmacology
More informationHORMONE THERAPY A BALANCED VIEW?? Prof Greta Dreyer
HORMONE THERAPY A BALANCED VIEW?? Prof Greta Dreyer -- PART 1 -- Definitions HRT hormone replacement therapy HT genome therapy ERT estrogen replacement therapy ET estrogen EPT estrogen progesterone therapy
More informationOsteoporosis. Treatment of a Silently Developing Disease
Osteoporosis Treatment of a Silently Developing Disease Marc K. Drezner, MD Senior Associate Dean Emeritus Professor of Medicine Emeritus University of Wisconsin-Madison Auditorium The Forest at Duke October
More information